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Menopause may be underdocumented in EHRs

Surveys captured nearly 7 times as many menopause observations as structured clinical records, with high agreement when both sources identified menopause.

  • By

  • Andrea Surnit

  • September 14, 2026

  • 4 min

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  • 1

    Self-reported surveys identified nearly 7 times more menopause observations than structured electronic health records (EHRs) in the All of Us Research Program.

  • 2

    Among participants, 192,655 reported permanent cessation of menstrual periods, while only 27,975 had an EHR diagnosis code for menopause or premature menopause.

  • 3

    The study found limited documentation of menopause-related symptoms in EHRs, with 20 or fewer observations recorded for abnormal vasomotor function.

  • 4

    EHR diagnoses primarily occurred between ages 50 and 80 years, with a notable increase at age 65, differing from survey-reported menopause age distributions.

  • 5

    The findings suggest that survey data provide greater ascertainment of menopause than structured EHR diagnoses, highlighting the need for better documentation.

Original Source(s)

Menopause may be underdocumented in EHRs

  • by Andrea Surnit

  • September 14, 2026

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